The Incident Investigation Form is a critical document used across UAE businesses to comply with workplace safety requirements and incident reporting obligations under UAE Labor Law. This document is essential when any workplace incident occurs, ranging from near-misses to serious accidents, and must be completed within the timeframes specified by UAE regulations. The form serves multiple purposes: documenting the incident details, recording witness statements, analyzing root causes, proposing corrective actions, and maintaining an official record for legal and insurance purposes. It is designed to meet the specific requirements of UAE authorities, including local municipality regulations and industry-specific safety standards. The documentation generated through this form may be required for submission to various authorities, including the Ministry of Human Resources and Emiratisation, insurance providers, and other relevant regulatory bodies.
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1. Incident Overview: Basic information including date, time, location, and type of incident
2. Affected Parties: Details of all persons involved, injured, or witnesses to the incident
3. Incident Description: Detailed narrative of what occurred, including sequence of events
4. Immediate Actions Taken: Emergency response measures and immediate steps taken after the incident
5. Investigation Details: Methods used to investigate, evidence collected, and interviews conducted
6. Root Cause Analysis: Identification and analysis of direct and underlying causes
7. Findings: Summary of investigation conclusions and contributing factors
8. Corrective Actions: Recommended measures to prevent recurrence and timeline for implementation
9. Sign-off Section: Signatures of investigator, relevant management, and HSE representative
1. Environmental Impact Assessment: Required when incident involves environmental damage or hazardous materials
2. Equipment/Property Damage Report: Needed when incident involves damage to physical assets
3. Third Party Involvement: Required when external parties or contractors are involved
4. Media and Communications Log: Necessary for high-profile incidents requiring public communications
5. Cost Impact Analysis: Optional section for documenting financial implications of the incident
6. Regulatory Notification Record: Required when incident must be reported to authorities
1. Appendix A - Witness Statements: Detailed statements from all witnesses, signed and dated
2. Appendix B - Photographic Evidence: Photos, diagrams, or sketches of the incident scene
3. Appendix C - Medical Reports: Copies of relevant medical documentation if injuries occurred
4. Appendix D - Training Records: Relevant training and certification records of involved parties
5. Appendix E - Equipment Reports: Maintenance records, inspection certificates of involved equipment
6. Appendix F - Risk Assessments: Pre-existing risk assessments and safety procedures relevant to the incident
7. Appendix G - Investigation Timeline: Detailed chronological timeline of events before, during, and after incident
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